| The Bergand Group Llc | |
|
1803 Harford Rd Fallston MD 21047-2501 | |
| (443) 299-6766 | |
| Not Available |
| Full Name | The Bergand Group Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1803 Harford Rd, Fallston, Maryland |
| Authorized Official Name and Position | Craig Howard Lippens (PORGRAM DIRECTOR) |
| Authorized Official Contact | 4108537691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bergand Group Llc 1803 Harford Rd Fallston MD 21047-2501 Ph: (443) 299-6766 | The Bergand Group Llc 1803 Harford Rd Fallston MD 21047-2501 Ph: (443) 299-6766 |
| NPI Number | 1184119448 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184119448 | NPI | - | NPPES |
| 942926 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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